Antiseptic Mouth Rinse
FDA Label NDC 42507-210

Full FDA labeling including Indications, Dosage, Usage, and Precautions

Structured Product Label

The following Structured Product Label (SPL) was submitted to the FDA by Hy-vee, Inc for the product Antiseptic Mouth Rinse (NDC 42507-210). This document serves as the official prescribing information, containing essential scientific data and clinical materials required for healthcare providers and patients.

This specific version of the label includes detailed information regarding otc - active ingredient, otc - purpose, indications & usage, warnings, otc - do not use, otc - stop use, otc - keep out of reach of children, dosage & administration, and other regulatory disclosures. Use the navigation below to review specific sections of the FDA submission.

Otc - Active Ingredient

Eucalyptol 0.092%

Menthol 0.042%

Methyl sailcylate 0.060%

THYMOL 0.064%

Otc - Purpose

PurposeAntigingivitis

Indications & Usage

Use helps control plaque that leads to gingivitis

Warnings

Warnings

Otc - Do Not Use

Do not use if you have painful or swollen gums, pus from the gum line, loose teeth or increased spacing between the teeth.  See your dentist immediately.  These may be signs of periodontitis, a serious form of gum disease

Otc - Stop Use

Stop use and ask a dentist if gingivitis, bleeding, or redness persists for more than 2 weeks

Otc - Keep Out Of Reach Of Children

Keep out of reach of children.  If more than used for rinsing is accidentally swallowed, get medical help or contact a Poison Control Center right away

Dosage & Administration

adults and children 12 years
of age and older - vigorously swish20 mL (2/3 FL OZ or 4 teaspoonfuls) between teeth for 30 seconds then spit out; do not swallow

children under 12 years of age - consult a dentist or doctor

• this rinse is not intended to replace brushing or flossing

Storage And Handling

Other information cold weather may cloud this product.  Its antiseptic properties are not affected.  Store at room temperature (59⁰- 77⁰F)

Inactive Ingredient

Inactive ingredients water, alcohol (21.6%), sorbitol solution, flavoring, PEG-40 hydrogenated castor oil, poloxamer 407, benzoic acid, zinc chloride, sucralose and/or sodium saccharin, sodium benzoate, yellow 6, red 40

Other

This product is not manufactured or distributed by Johnson + Johnson Healthcare Products, distributor of Listerine

DSP-TN-15000

DSP-MO-34

SDS-TN-15012

Adverse Reactions

DISTRIBUTED BY HY-VEE, INC

5820 WESTOWN PARKWAY

WEST DES MOINES, IA 50266

SATISFACTION GUARANTEED

OR PURCHASE PRICE REFUNDED

FOR INFORMATON CALL

1-800-289-8343

www.hy-vee.com

Package Label.Principal Display Panel

Compare to active ingredientsin Citrus Advanced Listerinewith Tartar ProtectionTartar ControlAntisepticMouth RinseCitrus•Helps fight tartar buildup•Fights plaque + gingivitis•Kills germs for extended plaque protection•Enhanced breath protection1.5 LITERS (50.7 FL OZ)

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